A-349 B. MDCT in a patient with small bowel ischaemia
S. Romano | Sunday, March 10, 08:30 – 10:00 / Room B
Intestinal ischaemia and infarction are important causes of acute abdominal disease which appropriate diagnosis has to be as more as accurate being of crucial importance for the surgical or medical managament of the affected patients. At the basis of an efficient report lays the deep knowledge of the patho-physiologic mechanism leading to arterial, venous or low-flow state vascular injury of the intestines. When the mechanism is clearly understood, from a radiological point of view, it is essential to know how to optimise the MDCT technique in case of suspected intestinal ischaemia and what are main findings and intestinal features of the injured intestine. A further step is represented from the differentiation of various stages of disease from early potential transient ischemia to late infarction. However, it is also strongly important to become familiar with the reperfusion damage of the intestine, frequently observed but as still as a challenge for an effective diagnosis. The accuracy of the various radiological signs of bowel ischaemia should be considered and discussed, whereas presentation of several clinical cases with the description of their respective reports and final diagnosis still represents the “key” to improve an effective diagnosis of intestinal ischemia in daily radiological practise.